Thomas R. Perry, M.D.,S.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

22619 Issued in WI

Legal business name

THOMAS R. PERRY, M.D.,S.C.

Practice address

611 Sherman Ave E
Fort Atkinson, WI 53538-1960

Phone

(920) 568-5334

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan Perry

Title

Office Manager

Phone

(608) 325-6664

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Russell Perry, M.D.

  • Neurology Physician
  • Fort Atkinson, WI
  • NPI 1922280403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1013065598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 15TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662116",
            "telephone_number": "608-325-6664",
            "fax_number": "608-299-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SHERMAN AVE E",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381960",
            "telephone_number": "920-568-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. PERRY, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-325-6664",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "22619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "569574",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31804600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Edward Taber, DO
• Thomas Tackman, MD
• Hilary Ann Tenge, PHARMD
• Rebecca Tenhoor, OTR/L
• Todd M Tesch, DC
• Kelly Rae Toijala, PA
• Johanna Tomcheck
• Total Renal Care Inc
• Brandon Trimbell, DDS
• Melissa Anne Gleason Trimbell, DDS

• Neurology Physician in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.